COMPLETE YOUR APPLICATION
“Checklist” to fill out the application effectively:
- Complete all sections of the application.
- If any section does not apply, write N/A.
- Please write legibly if completing the application by hand.
- Include all required documentation.
- Sign and date.
To clarify any questions, please contact Luz León during business hours at
(787) 641-2550 or write to us at mipoliza@simedpr.com.
(787) 641-2550 or write to us at mipoliza@simedpr.com.
We will be pleased to provide you with a quote or premium estimate tailored to your practice!
*Subject to Approval
